MS. RAIMOL JACOB NP
NPI 1720306350
Nurse Practitioner - Family in Bronx, NY

Active since May 06, 2010
2488 GRAND CONCOURSE, 4TH FLOOR ROOM 424, BRONX, NY 10458(212) 695-5122(516) 484-6084 Get Directions Write a Review

NPPES record last updated: May 6, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Raimol Jacob Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. RAIMOL JACOB NP (NPI 1720306350) is an individual family provider in Bronx, New York, licensed in New York (F335357) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1720306350
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. RAIMOL JACOBCredential: NP
Location Address2488 GRAND CONCOURSE, 4TH FLOOR ROOM 424Bronx, NY 10458-5203
Mailing Address61 Manorhaven BlvdPort Washington, NY 11050-1627 · (516) 883-7100 · Fax (516) 883-7474
Fax(516) 484-6084
Sole ProprietorYes
Enumeration DateMay 6, 2010
NPI 1720306350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F335357
2488 GRAND CONCOURSE, Bronx, NY 10458

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
2488 GRAND CONCOURSE
BRONX, NY 10458
Podiatrist
2488 GRAND CONCOURSE
BRONX, NY 10458
Home Health
2488 GRAND CONCOURSE, SUITE #334
BRONX, NY 10458
Social Worker
2488 GRAND CONCOURSE
BRONX, NY 10458
Marriage & Family Therapist
2488 GRAND CONCOURSE
BRONX, NY 10458
Registered Nurse
2488 GRAND CONCOURSE
BRONX, NY 10458
Clinic/Center (Rehabilitation, Substance Use Disorder)
2488 GRAND CONCOURSE
BRONX, NY 10458
Physical Therapist
2488 GRAND CONCOURSE
BRONX, NY 10458

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raimol Jacob's NPI number?

The NPI number for Raimol Jacob is 1720306350. It was assigned to this individual provider in the NPPES registry on May 6, 2010.

Where is Raimol Jacob located?

Raimol Jacob practices at 2488 Grand Concourse 4th Floor Room 424, Bronx, NY 10458. The listed phone number is (212) 695-5122.

What is Raimol Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Raimol Jacob was last updated on May 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.